KATHRYN DOBBS (M.D.) – Family Medicine Physician, NPI 1073690418

KATHRYN DOBBS (M.D.) is a healthcare provider. based in Moose lake, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 54965 (MN). The NPI Number for KATHRYN DOBBS (M.D.) is 1073690418

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN DOBBS (M.D.)
NPI
1073690418
Phone
(218) 425-4491
Address
4570 CO HWY 61
Enumeration Date
1 November 2006
Last Update Date
26 October 2021

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Secondary Phone
3082844011
Graduation Year
2000 (26 years ago)
PAC ID
1052372695
Group Practice PAC ID
3072517523
Professional Enrollment ID
I20240325001398
Address ID
NE691532465OG2601XSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

3,075 FAMILY PRACTICE in MN

Provider Addresses for KATHRYN DOBBS (M.D.)

  • 4570 CO HWY 61

    MOOSE LAKE, MN 55767

    Phone: (218) 425-4491

    Type: Location

  • The Box, Fargo Village, Lower Stoke, Coventry, West Midlands Combined Authority, West Midlands, England, CV1 5ED, United Kingdom

    FARGO, ND 581086001

    Phone: (218) 732-2800

    Fax: (218) 732-2874

    Type: Mailing

  • CMH Raiter Family Clinic, 417, Skyline Boulevard, Cloquet, Carlton County, Minnesota, 55720, United States

    CLOQUET, MN 557201164

    Phone: (218) 879-1271

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2024-01-27 • Largest payer in this snapshot: Daiichi Sankyo Inc. ($38).

Total Amount

$38

General + Research + Ownership

Payments

1

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Daiichi Sankyo Inc.$38
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221221001562IFamily PracticeWITBD
I20240325001398IFamily PracticeNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55767)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072517523View full group profile
NameSpecialtyState
Nurse PractitionerNE
-MO
Internal MedicineCO
-CO
Family PracticeCO
-NE
Family PracticeNE
Sports Medicine, Orthopedic Surgery, Sports Medicine, Orthopedic SurgeryCO
Physician AssistantNE
-AZ

Reviews

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Frequently asked questions

What number should I use to identify KATHRYN DOBBS (M.D.) for billing?
Administrative and clinical systems typically use NPI 1073690418 for KATHRYN DOBBS (M.D.).
Quick check: is KATHRYN DOBBS (M.D.) active?
Public NPPES data shows KATHRYN DOBBS (M.D.) with an active NPI status right now.
How should patients interpret KATHRYN DOBBS (M.D.)'s specialty?
The extract shows Family Medicine Physician for KATHRYN DOBBS (M.D.). Clinical services aligned with this taxonomy classification.
Which community is linked to KATHRYN DOBBS (M.D.)?
KATHRYN DOBBS (M.D.) shows a connection to Moose Lake, Minnesota in registry-derived data.
Who maintains KATHRYN DOBBS (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.